160627 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361390 Page 1 of 1
Q�
ONE CIVIC SQUARE MICHELE WHITE CHECK AMOUNT: $128.00
CARMEL, INDIANA 46032 3665 BRIDGER DR S
CARMEL IN 46032 CHECK NUMBER: 160627
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 123215 128.00 REFUNDS- AWARDS INDE
4-
ACTIVITY REFUND RECEIPT
Receipt 123215
Payment Date: 06/02/2008
Household 17865
Home Phone: (765)437 -3240
Work Phone: (317)
MICHELE WHITE Carmel Clay Parks Recreation
3665 BRIDGER DRVIE SOUTH 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
f Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 112.00
Enrollee Name: Brenna White Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 186225 -01 Train the Brain 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/01/2008 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Program Room B Class Dates: 06/0312008 to 07/29/2008
Monon Center 11:45A to 12:30P F.Rit
Tu
Carmel, IN 46032 Skip Days 07/01/2008 (317)848 -7275 Scheduled Sessions: 8 9 2008
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 128.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 16.00
Processed on 06/02/08 16:14:39 by CNA FEES CHANGED ON CANCELLED ITEMS 112.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 112.00
HH BALANCE APPLIED TO THIS RECEIPT 16.00
TOTAL AMOUNT REFUNDED 128.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 128.00 Made By JOURNAL -RF With Reference low enrollment
Page 1
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ACTIVITY REFUND RECEIPT
Receipt 123215
Payment Date: 06/02/08
Household 17865
All refunds are subject to State Board of Accounts claim procedure and ma ake 4 -6 eeks t cess. A check will be
issued. No cash or credit card refunds.
Aut orized Signature Date A thbnze ture Date
�T 3&0 300. c
RECEIVED
JUN 0 9 2008
BY:
Page 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
White, Michele Terms
3665 Bridger Drive South Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/08 123215 Refund 128.00
Total 128.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
White, Michele Allowed 20
3665 Bridger Drive South
Carmel, IN 46032
In Sum of
128.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 123215 4358400 128.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
9 -Jun 2008
Signature
128.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund